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Drivers of Racial Differences in C-Sections

Author

Listed:
  • Adriana Corredor-Waldron

    (North Carolina State)

  • Janet Currie

    (Yale and NBER)

  • Molly Schnell

    (Northwestern and NBER)

Abstract

Black mothers with a trial of labor are 25 percent more likely to deliver by C-section than non-Hispanic White mothers. The gap is largest among mothers with the lowest risk and is reduced by only one-fifth when controlling for observed medical risk factors, sociodemographic characteristics, hospital, and physician or medical practice group. Remarkably, the gap disappears when performing a C-section is more costly due to a concurrent pre-labor C-section limiting surgical resources. This finding is consistent with provider discretion rather than differences in unobserved medical risk accounting for persistent racial disparities in delivery method. The additional intrapartum C-sections that occur among low-risk women when hospitals are unconstrained negatively impact infant health.

Suggested Citation

  • Adriana Corredor-Waldron & Janet Currie & Molly Schnell, 2025. "Drivers of Racial Differences in C-Sections," Cowles Foundation Discussion Papers 2489, Cowles Foundation for Research in Economics, Yale University.
  • Handle: RePEc:cwl:cwldpp:2489
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    File URL: https://cowles.yale.edu/sites/default/files/2026-01/d2489.pdf
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